Evidence map›Paper›PMID 38458233›Full record

ArticleApplied clinical informatics2024

Clinician Needs for Electronic Health Record Pediatric and Adolescent Weight Management Tools: A Mixed-Methods Study.

Amy S Braddock, K Taylor Bosworth, Parijat Ghosh, Rachel Proffitt, Lauren Flowers, Emma Montgomery, Gwendolyn Wilson, Aneesh K Tosh, Richelle J Koopman

Abstract read
In one paragraph

Article in Applied clinical informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Amy S BraddockDepartment of Family and Community Medicine, University of Missouri, Columbia, Missouri, United States.
K Taylor BosworthSchool of Medicine, University of Missouri, Columbia, Missouri, United States.
Parijat GhoshDepartment of Family and Community Medicine, University of Missouri, Columbia, Missouri, United States.
Rachel ProffittSchool of Health Professions, University of Missouri, Columbia, Missouri, United States.
Lauren FlowersSchool of Medicine, University of Missouri, Columbia, Missouri, United States.
Emma MontgomeryDepartment of Family and Community Medicine, University of Missouri, Columbia, Missouri, United States.
Gwendolyn WilsonDepartment of Family and Community Medicine, University of Missouri, Columbia, Missouri, United States.
Aneesh K ToshDepartment of Child Health, University of Missouri, Columbia, Missouri, United States.
Richelle J KoopmanDepartment of Family and Community Medicine, University of Missouri, Columbia, Missouri, United States.

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
NIDDK NIH HHS P30 DK092950
6 · The paper itself

Abstract

backgroundClinicians play an important role in addressing pediatric and adolescent obesity, but their effectiveness is restricted by time constraints, competing clinical demands, and the lack of effective electronic health record (EHR) tools. EHR tools are rarely developed with provider input.

objectivesWe conducted a mixed method study of clinicians who provide weight management care to children and adolescents to determine current barriers for effective care and explore the role of EHR weight management tools to overcome these barriers.

methodsIn this mixed-methods study, we conducted three 1-hour long virtual focus groups at one medium-sized academic health center in Missouri and analyzed the focus group scripts using thematic analysis. We sequentially conducted a descriptive statistical analysis of a survey emailed to pediatric and family medicine primary care clinicians (

resultsSurveyed clinicians reported that they effectively provided health behavior lifestyle counseling at well-child visits (mean of 60 on a scale of 1-100) and child obesity visits (63); however, most felt the current health care system (27) and EHR tools (41) do not adequately support pediatric weight management. Major themes from the clinician focus groups were that EHR weight management tools should display data in a way that (1) improves clinical efficiency, (2) supports patient-centered communication, (3) improves patient continuity between visits, and (4) reduces documentation burdens. An additional theme was (5) clinicians trust patient data entered in real time over patient recalled data.

conclusionStudy participants report that the health care system status quo and currently available EHR tools do not sufficiently support clinicians working to manage pediatric or adolescent obesity and provide health behavior counseling. Clinician input in the development and testing of EHR weight management tools provides opportunities to address barriers, inform content, and improve efficiencies of EHR use.

Indexed as

Electronic Health RecordsAdolescentBody WeightChildFemaleFocus GroupsHumansMalePediatric Obesity

Identifiers

PMID38458233
PMCPMC11078569

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.